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General NPI Number Information
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NPI Number | 1295282853
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Entity Type | Organization
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Legal Business Name | EMPOWER OT SERVICES PLLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 10723 BARDSTOWN WOODS BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40291-3373
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Country | US
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Telephone | 502-548-6274
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Fax |
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Provider Business Mailing Address
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Address Line | 10723 BARDSTOWN WOODS BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40291-3373
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Country | US
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Telephone | 502-548-6274
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARGARET MARIE WAMPLER
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Credential | OTR/L
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Telephone | 502-548-6274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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